383 An International Comparison of Competency-Based Orthopaedic Curricula and Minimum Operative Numbers

The requirements for completion of surgical training can vary across different countries. This review aims to assess key differences among orthopaedic curricula in selected high-income countries, focusing on their criteria for assessing technical competence for completion of training. Method Current orthopaedic training curricula in the UK, USA, Canada, Australia, and Germany were reviewed. Data extracted included training duration, minimum or desirable operative experience requirements, methods, and timing of in-training assessments. Results The overall training duration ranged between 9-10 years in the UK and Australia, compared to 5-6 years in all other countries. While operative logbook was an essential component of formative and end-of-training reviews in all countries, minimum indicative numbers in index operations were a requirement only in the UK (minimum total required; 1800, index operations; 365) and USA (minimum total required; 1000, index operations; 455). On average, USA residents performed 1,700 procedures compared to German residents performing 730 procedures before completion of training. Conclusions There is a lack of robust data describing the operative experiences of orthopaedic trainees outside of the UK and USA. Contrary to common perception, surgeons exiting training and entering independent practice in the above countries are not trained to the same minimum standard.